Which type of examination assesses hands-on surgical skills?

The type of examination that assesses hands-on surgical skills is the Practical Examination. This format is specifically designed to evaluate an individual's proficiency in performing surgical techniques, using instruments, and ensuring proper sterile techniques in a simulated or real surgical environment.

During a Practical Examination, candidates typically demonstrate their ability to perform various tasks such as suturing, tissue handling, and the use of surgical instruments under the observation of evaluators. This hands-on component is crucial as it provides a direct measure of a candidate's capability to execute the skills necessary for surgical assistance, which cannot be assessed through theoretical or written formats alone.

Cognitive examinations, on the other hand, focus on the knowledge base related to surgical principles, anatomy, and procedures, but do not evaluate practical skills. Similarly, written examinations assess knowledge through questions and answers, without any practical component. The Surgical Instrumentation Examination may cover knowledge related to the instruments themselves rather than the application of skills in a surgical setting. Thus, the Practical Examination stands out as the most relevant format for assessing hands-on surgical skills.